Provider Demographics
NPI:1700181740
Name:WALKER, WAYNEISHA SHANT'A-MAREE (LCSW)
Entity type:Individual
Prefix:
First Name:WAYNEISHA
Middle Name:SHANT'A-MAREE
Last Name:WALKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:WAYNEISHA
Other - Middle Name:
Other - Last Name:DAVISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2500 E TC JESTER BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1458
Mailing Address - Country:US
Mailing Address - Phone:832-377-1571
Mailing Address - Fax:
Practice Address - Street 1:2500 E TC JESTER BLVD STE 140
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1458
Practice Address - Country:US
Practice Address - Phone:832-377-1571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner